Suppr超能文献

精神病学中的数字技术:临床医生调查研究

Digital Technology in Psychiatry: Survey Study of Clinicians.

作者信息

Sterling William Andrew, Sobolev Michael, Van Meter Anna, Guinart Daniel, Birnbaum Michael L, Rubio Jose M, Kane John M

机构信息

Institute of Behavioral Science, Department of Psychiatry, Zucker Hillside Hospital, Glen Oaks, NY, United States.

The Donald and Barbara Zucker School of Medicine, Hofstra University, Northwell Health, New York, NY, United States.

出版信息

JMIR Form Res. 2022 Nov 10;6(11):e33676. doi: 10.2196/33676.

Abstract

BACKGROUND

Digital technology has the potential to transform psychiatry, but its adoption has been limited. The proliferation of telepsychiatry during the COVID-19 pandemic has increased the urgency of optimizing technology for clinical practice. Understanding clinician attitudes and preferences is crucial to effective implementation and patient benefit.

OBJECTIVE

Our objective was to elicit clinician perspectives on emerging digital technology.

METHODS

Clinicians in a large psychiatry department (inpatient and outpatient) were invited to complete a web-based survey about their attitudes toward digital technology in practice, focusing on implementation, clinical benefits, and expectations about patients' attitudes. The survey consisted of 23 questions that could be answered on either a 3-point or 5-point Likert scale. We report the frequencies and percentages of responses.

RESULTS

In total, 139 clinicians completed the survey-they represent a variety of years of experience, credentials, and diagnostic subspecialties (response rate 69.5%). Overall, 83.4% (n=116) of them stated that digital data could improve their practice, and 23.0% (n=32) of responders reported that they had viewed patients' profiles on social media. Among anticipated benefits, clinicians rated symptom self-tracking (n=101, 72.7%) as well as clinical intervention support (n=90, 64.7%) as most promising. Among anticipated challenges, clinicians mostly expressed concerns over greater time demand (n=123, 88.5%) and whether digital data would be actionable (n=107, 77%). Furthermore, 95.0% (n=132) of clinicians expected their patients to share digital data.

CONCLUSIONS

Overall, clinicians reported a positive attitude toward the use of digital data to not only improve patient outcomes but also highlight significant barriers that implementation would need to overcome. Although clinicians' self-reported attitudes about digital technology may not necessarily translate into behavior, our results suggest that technologies that reduce clinician burden and are easily interpretable have the greatest likelihood of uptake.

摘要

背景

数字技术有潜力改变精神病学,但它的应用一直有限。在新冠疫情期间远程精神病学的激增增加了为临床实践优化技术的紧迫性。了解临床医生的态度和偏好对于有效实施以及患者受益至关重要。

目的

我们的目的是了解临床医生对新兴数字技术的看法。

方法

邀请一个大型精神科(住院部和门诊部)的临床医生完成一项基于网络的调查,内容是他们在实践中对数字技术的态度,重点是实施、临床益处以及对患者态度的期望。该调查由23个问题组成,可以用3分或5分的李克特量表回答。我们报告了回答的频率和百分比。

结果

共有139名临床医生完成了调查——他们代表了不同的工作年限、资质和诊断亚专业(回复率69.5%)。总体而言,其中83.4%(n = 116)表示数字数据可以改善他们的实践,23.0%(n = 32)的受访者报告说他们在社交媒体上查看过患者资料。在预期益处方面,临床医生将症状自我跟踪(n = 101,72.7%)以及临床干预支持(n = 90,64.7%)评为最有前景。在预期挑战方面,临床医生大多表达了对时间需求增加(n = 123,88.5%)以及数字数据是否可行(n = 107,77%)的担忧。此外,95.0%(n = 132)的临床医生期望他们的患者分享数字数据。

结论

总体而言,临床医生对使用数字数据不仅改善患者治疗效果而且突出实施需要克服的重大障碍持积极态度。虽然临床医生自我报告的对数字技术的态度不一定会转化为行为,但我们的结果表明,减轻临床医生负担且易于解读的技术采用可能性最大。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/707e/9693695/d15cf4ed67db/formative_v6i11e33676_fig1.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验